Southeastern Surgery
Southeastern Surgery provides Clinic/Center services in Logan, Ohio. Licensed in Ohio. Registered with an NPI since 2016.
- Licensed in
- OH
- In the registry since
- 2016
Practice location Address checks out
144 E Main StLogan, OH 43138 Not confirmed with CMS for 10 years — call before visiting
Phone: (740) 385-1881
Fax: (740) 385-1875
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X · Licence 34. 002686 (OH) |
|---|
Record details
| NPI number | 1639536089 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Dewalt — Surgeon · (740) 385-1881 |
| NPI enumerated | January 15, 2016 |
| Last updated in NPPES | January 15, 2016 |
| Mailing address | 12413 State Route 93 N, Logan, OH 43138-9306 |